Alma San Juan, AGACNP
NPI 1063094621ActiveIndividual· Nurse Practitioner, Acute Care· Gresham, OR
Nurse Practitioner, Acute Care (AGACNP) with Legacy Clinics LLC, practicing in Gresham, Oregon. 20 Medicare patients in 2024, $1,384 paid; nearly all of their 151 Part D prescriptions were generic (91%). Merck Sharp & Dohme LLC reported $14.89 in payments in 2025, mostly food and beverage. Lists Legacy Mount Hood Medical Center as a hospital affiliation.
Overview
| NPI | 1063094621 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGACNP |
| Sole proprietor | No |
| NPI issued | Apr 23, 2021 |
| Last updated in NPPES | Apr 23, 2021 |
| Certified by provider | Apr 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 202008006 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 21 across 6 procedure codes |
| Paid by Medicare | $1,384 |
Part D prescriptions in 2024
| Prescriptions (claims) | 151 · 151 30-day fills |
|---|---|
| Patients | 114 |
| Total drug cost | $1,438 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Legacy Clinics LLCPortland, OR · 713 clinicians
Hospital affiliation
- Legacy Mount Hood Medical CenterGresham, OR
Industry payments (Open Payments)
- 2025$14.89 · 1 payment from 1 company
- 2024$57.78 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $14.89 | 1 |
What the 2025 payments were for
- Food and Beverage$14.89 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other acute care nurse practitioners in Gresham
- 1851948442